Provider Demographics
NPI:1376950725
Name:PENMAN, JULI (MED, LPC)
Entity Type:Individual
Prefix:
First Name:JULI
Middle Name:
Last Name:PENMAN
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1335 FM 1661
Mailing Address - Street 2:
Mailing Address - City:SAGERTON
Mailing Address - State:TX
Mailing Address - Zip Code:79548-2013
Mailing Address - Country:US
Mailing Address - Phone:325-721-3639
Mailing Address - Fax:
Practice Address - Street 1:1335 FM 1661
Practice Address - Street 2:
Practice Address - City:SAGERTON
Practice Address - State:TX
Practice Address - Zip Code:79548-2013
Practice Address - Country:US
Practice Address - Phone:325-721-3639
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-17
Last Update Date:2014-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69404101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor